Department of Pediatric Surgery, University of Southern California, Los Angeles, CA 90027, USA.
J Pediatr Surg. 2009 Dec;44(12):2327-9. doi: 10.1016/j.jpedsurg.2009.07.059.
Inguinal hernias in infants and children may not be evident during visits to the pediatric surgeon's office. Preoperative photographic confirmation of the hernia may be helpful and accurate. This study retrospectively assesses the preoperative examination, photographic evidence, operative findings, and complications of these patients.
For a 30-month period, children with a history of a possible inguinal bulge were assessed by clinical examination. If no bulge was detected, the parents were given the option of sending a photograph to the surgeon. Patients underwent surgery based solely upon the history and definitive image.
For 30 months, 25 children were evaluated for inguinal pathology but had no hernia on clinical examination. Based solely upon the history and the digital image, 23 of these patients underwent surgery. All of the patients who were diagnosed with a hernia by history and imaging alone had an operatively confirmed hernia. The remaining 2 patients have not developed a hernia with continued observation.
Photographic images are a reliable way to document the presence and laterality of inguinal hernias. Reliance upon digital transmission of images avoids the need for repeat office visits, saving considerable physician and parental time and expense.
婴儿和儿童的腹股沟疝在就诊于小儿外科医生办公室时可能不明显。术前对疝的照相确认可能有助于准确诊断。本研究回顾性评估了这些患者的术前检查、照相证据、手术发现和并发症。
在 30 个月的时间内，对有腹股沟膨出史的儿童进行临床检查。如果未发现膨出，家长可以选择将照片发送给外科医生。仅根据病史和明确的图像，患者就接受了手术。
在 30 个月的时间里，有 25 名儿童因腹股沟疾病接受了评估，但临床检查无疝。仅根据病史和数字图像，其中 23 名患者接受了手术。所有仅根据病史和影像学诊断为疝的患者均经手术证实存在疝。其余 2 名患者继续观察，未出现疝。
照片是记录腹股沟疝存在和侧别的可靠方法。依靠数字图像传输可避免重复就诊，节省大量医生和家长的时间和费用。
